| NPI | 1194699579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KANEVSKY Member 267-767-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |