| NPI | 1154092104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY BUSSEY CEO 347-551-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-07-24 |