| NPI | 1295530137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA CANNON Owner 945-310-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-10-02 |