| NPI | 1285005645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYUNG S SONG Owner 4702-994-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: GA 067-R-1183) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |