| NPI | 1437034824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE PRYCE Admin 754-305-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |