| NPI | 1467164970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA JACKSON Owner 346-387-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management |
| 104100000X Social Worker | |
| 163WW0000X Registered Nurse Wound Care | |
| 163W00000X Registered Nurse | |
| 163WH0200X Registered Nurse Home Health | |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-12-27 |