| NPI | 1326717505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY BONGAM President 786-451-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| 372500000X Chore Provider | |
| 251B00000X Case Management | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |