| NPI | 1457068801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET LOPEZ DE LA VEGA Owner 786-200-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |