| NPI | 1164447017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L AIKEN Manager 866-591-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-12-28 |