| NPI | 1164319745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASIAH SHAW President 267-969-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |