| NPI | 1508674029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEKEA JOHNSON CEO 267-993-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-03-04 |