| NPI | 1336835347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY KOFFI BLEDJE Administrator 402-547-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-20 |