| NPI | 1306502547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE REESE Owner 360-830-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |