| NPI | 1245096775 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | SETIAM JOYCELINE KABA CEO 908-900-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-03-22 |