| NPI | 1497572978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANISE HICKS President 267-902-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-27 |