| NPI | 1467254235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELVINE NKONGHO AYUK Owner 943-238-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-08-28 |