| NPI | 1164869863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEMETA B BRADLEY Owner/Operator 866-616-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-13 |