| NPI | 1215295928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA GERASIMENKO Director 267-918-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |