| NPI | 1194475095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANA LAWSON Director 860-543-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |