| NPI | 1275153918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA SHAH Director 800-787-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-01-09 |