| NPI | 1235518614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELA SHABREE COOK Chief Executive Officer 267-701-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-21 |