| NPI | 1336885516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUEVERSIE GORDEN Partner 501-617-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |