| NPI | 1427899830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SMITH Owner 800-966-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171W00000X Contractor |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-14 |