| NPI | 1184099434 |
|---|---|
| Doing Business As | PCPEXTRAORDINARY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA B PAISLEY Owner 161-776-7238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-10-17 |