| NPI | 1295562676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA MARTIN Manager 346-456-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-12-20 |