| NPI | 1134710502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENARA ASHLEY CHARLES Owner 302-559-6862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-12-04 |