| NPI | 1497110126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREEDA MOHAMMED Owner/Administrator 267-499-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 29323601) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |