| NPI | 1316602543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIVAH GREENE Owner 888-687-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |