| NPI | 1255924122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRANECE L HAMMOND Pbt Instructor Mobile Examiner 222-692-9010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |