| NPI | 1497626907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA HARRIS CEO 872-292-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |