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 |