| NPI | 1437809985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAESHA SAMPSON Treasurer 856-956-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171W00000X Contractor |
| 251E00000X Home Health | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |