| NPI | 1255015525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ORLANDO WALLACE Owner/Director Of Nursing 848-391-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-26 |