| NPI | 1275406092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON HARRIS CEO 448-488-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-10-22 |