| NPI | 1487408860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MENSAH Director 667-359-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist Home Health |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |