| NPI | 1134955727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAJEAN D CHANEY CEO 844-900-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |