| NPI | 1285087734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKISHA JACKSON President 267-439-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-03-29 |