| NPI | 1275053316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE DIANE ANKUM C.E.O. 251-655-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |