| NPI | 1467098079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MADUKA Owner 469-209-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-04-29 |