| NPI | 1467284885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQWANA WOODARD CEO 769-798-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |