| NPI | 1316497233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORPIA KEYES Owner 844-539-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 4000502) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 3001274) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-11-03 |