| NPI | 1255116349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA LAVENE JOHNSON CEO 000-000-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-07-25 |