| NPI | 1366084865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEOLA TEMITOPE SOTUBO Program Administrator 667-240-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |