| NPI | 1356001374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMITRICE D BLAKES Owner 318-519-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 174200000X Meals |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |