| NPI | 1205613114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE ALEXANDER Owner 689-500-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-18 |