| NPI | 1184200370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIKA SHAWAN AMORY Administrator/CEO 346-813-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-05-04 |