| NPI | 1457976300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHRENA ENGRAM Organizer 315-542-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 251S00000X | |
| 251B00000X Case Management | |
| 251G00000X Hospice Care, Community Based | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 302R00000X Health Maintenance Organization | |
| 305S00000X Point of Service | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |