| NPI | 1457052920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRICK MATTHEWS Director 945-283-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-12-03 |