| NPI | 1164769899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADIY LEVIT President 267-388-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 23853601) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 23853601) |
| 253Z00000X In Home Supportive Care (Licence: PA 23853601) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |