| NPI | 1205614872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY BRASWELL President 267-701-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |