| NPI | 1144741869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONKE ODIGIE Director 866-832-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 208000000X Pediatrics |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-06-27 |