| NPI | 1134955693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA GRIFFIN Owner 762-222-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-10-29 |