| NPI | 1508382557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALE DAVIS Administrator/Owner 267-343-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-11-02 |