| NPI | 1447542246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KUNGU Administrator 302-897-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: PA 20663601) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: PA 20663601) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |