| NPI | 1356166185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMOPE AYORINDE Owner 940-442-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-20 |