| NPI | 1174220602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE DODSON Agency Manager 708-634-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-28 |