| NPI | 1154987246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. VICKY ST FORT CEO 866-614-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |