| NPI | 1205523636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARLEY QUIYEA CEO 267-269-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |