| NPI | 1316554066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PAUL Owner 754-204-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-05-19 |