| NPI | 1457799561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEDUKA GIBBS Director 302-747-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: DE PASA-032) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: DE PASA-032) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |