| NPI | 1467003533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE WATSON Owner 870-904-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |