| NPI | 1194506386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESHWARI KOLA Managing Member 516-728-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-23 |