| NPI | 1417680554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANISE GRISSETT Owner 571-275-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372500000X Chore Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-08-02 |