| NPI | 1326516709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMIKA MARIE WASHINGTON Owner 321-616-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2021-09-16 |