| NPI | 1164137758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DAVIS President 267-402-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |