| NPI | 1255954616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE BAKASA Owner 469-500-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-10-01 |