| NPI | 1497063721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHAWN CONLEY Administrator 346-541-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2024-07-15 |