| NPI | 1487374468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONJO RANDOLPH TOMMY Administrator 302-378-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |