| NPI | 1497554364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENESIS A RIVAS President 728-207-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |