| NPI | 1447961701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY HARMON Manager Member/Administrator 888-516-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |