| NPI | 1235785494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID PATRICK Owner/Operator 918-574-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-01-02 |