| NPI | 1326918194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKESHA WILSON Director 424-835-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 3747A0650X Technician, Attendant Care Provider | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-12-17 |