| NPI | 1386523611 |
|---|---|
| Doing Business As | NONE |
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MERILYNE RUZVIDZO Caregiver 701-300-2811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Enumeration Date | 2025-08-30 |
| Last Update Date | 2025-08-30 |