| NPI | 1407579584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON GREEN Home Care Cleaning Company 315-360-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-01-01 |