| NPI | 1356103428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CHISHIMBA President 463-206-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-08-29 |