| NPI | 1376884031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAAZA SHAWANGIZOW Assistant Director Of Nurses 339-226-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MA 8309) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |