| NPI | 1164139481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE WILLIAMS Health Care Practitioner Supervisor 917-386-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251E00000X Home Health | |
| 364SH0200X Clinical Nurse Specialist Home Health | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-07-22 |