| NPI | 1407245715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA D LAWSON Administrator 769-798-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MS 1036150) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-10 |