| NPI | 1366232597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN CLINTON Consultant 179-037-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |