| NPI | 1164961090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRENIA THOMAS Director Of Professional Services 866-550-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2017-02-12 |