| NPI | 1467909598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ESTHER FENELON Administrator 84720-829-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 4000511) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 3001334) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |