NPI | 1164253589 |
---|---|
Entity Type | Organization |
Authorized Contact | PATIENCE B ROESLER Owner 302-800-0361 |
Organization Subpart ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse |
Additional Taxonomies | 251E00000X Home Health |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-08-09 |