| NPI | 1295311488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEJULIET WAMBUI Administrator 929-410-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-06-28 |