| NPI | 1356636617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST G COLE Executive Director 267-519-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 21403601) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2012-05-24 |