| NPI | 1164298253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDER ROSTON Owner/Director 472-202-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |