| NPI | 1265253827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANACHI COWIE Owner 571-490-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 315D00000X Hospice, Inpatient | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |