| NPI | 1285475335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA DICKENS Agency Administrator 877-652-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-10 |