| NPI | 1215339692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA L NICHOLAS Human Resources 267-513-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 20003601) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |