| NPI | 1376287631 |
|---|---|
| Former Legal Business Name | AT HOME SENIOR CARE OF AMERICA, LLC |
| Entity Type | Organization |
| Authorized Contact | PEACE DZIGDORDI DORMON Agency Director 336-508-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-05-06 |