| NPI | 1205537750 |
|---|---|
| Former Legal Business Name | DESTINATION HEALTHCARE SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | HOWARD OSAITILE Owner 161-563-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-10-18 |