| NPI | 1396512190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMO ABDINASIR AHMED CEO 502-807-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |