| NPI | 1336967926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L QUARLES Administrator 945-242-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |