| NPI | 1457017378 |
|---|---|
| Doing Business As | ACTIVE HOME HEALTHCARE LLC. |
| Entity Type | Organization |
| Authorized Contact | TIWAUNDA JOSEPH Administrative 337-802-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |