| NPI | 1235652959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA EBUN OGUNLOKUN Administrator 267-575-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 33853601) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |