| NPI | 1396339214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCHU JALLAH Owner 701-306-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |