| NPI | 1407606007 |
|---|---|
| Former Name | QUENYATTA HERNDON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 171000000X Military Health Care Provider | |
| 310400000X Assisted Living Facility | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-23 |