| NPI | 1467968248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | METUSHELA NICOLAS Manager 772-418-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2019-07-23 |