| NPI | 1164307922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BLAIN Licensed Practical Nurse 203-767-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-09 |