| NPI | 1366044760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNASHA GRANT Administrator 772-318-9068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |