NPI | 1154450641 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA STRONG Administrator 888-262-0199 |
Organization Subpart ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: LA 9658) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2007-10-18 |