| NPI | 1497489322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE DALISIA JOHNSON CEO 346-815-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |