| NPI | 1316525991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDOCHEE TIMOLIEN Managing Owner 443-359-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251X00000X Supports Brokerage | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |