| NPI | 1497419618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVA YEVDAYEV Owner 347-960-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |