| NPI | 1386244242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNIE JEWELL Owner 269-575-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2022-11-15 |