| NPI | 1467124164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA JACKSON CEO 267-596-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251E00000X Home Health | |
| 3747P1801X Technician, Personal Care Attendant | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-02-07 |