| NPI | 1306440250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAR BISHOP Owner 618-601-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2022-05-17 |