| NPI | 1386467991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJAVU RENEE MCLEAN Program Director 980-229-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-12-06 |