| NPI | 1275373789 |
|---|---|
| Doing Business As | 502 HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA S HOCKER Owner 502-314-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-07-25 |