| NPI | 1376329425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNIE JEWELL CEO 269-275-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |