| NPI | 1174881189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJOKE OLAYEMI JOHNSON CEO/President 267-339-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 22563601) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2013-09-24 |