| NPI | 1437696630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELEH TWEH CEO 267-250-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251E00000X Home Health | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-10-01 |