| NPI | 1497356612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAN MOHAMED Owner 208-513-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |