| NPI | 1407547912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLONEY SAILES Owner 870-340-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |