| NPI | 1174255152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM N SERWANGA President 857-880-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |