| NPI | 1467219691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUTUBUL ALAM Administrator 267-939-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-05-31 |