| NPI | 1346744653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE MICHELLE VENABLE Owner 234-855-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 374700000X Technician | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |