| NPI | 1235730862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WILSON Owner 251-513-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-10-02 |