| NPI | 1205131216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS MICHAILOVICH ZVENIGORODSKY Owner 267-255-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 11563601) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |