| NPI | 1174405419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NQOBILE FAITH DUMISA Administrator 571-422-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |