| NPI | 1467225995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN YOUNG CEO/Administrator 026-666-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |