| NPI | 1346997905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA HARKNESS Owner 267-602-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |