| NPI | 1508535584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROVENIA HUMPHRIES Owner 334-699-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |