| NPI | 1366727265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LADOSCA MOCK Clinical Specialist 1336-793-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |