| NPI | 1386372225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BALOGUN Owner / President / Administrator 267-367-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-11-23 |