| NPI | 1275399917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIAN AGBAW-EBAI Administrator/CEO 857-701-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 372500000X Chore Provider | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |