| NPI | 1487440137 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | JAYEOLA S AMOS Owner 667-334-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |