| NPI | 1336788637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIRA WILSON Owner 267-303-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |