| NPI | 1467149369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE ANN BRUCE President 567-201-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |