| NPI | 1518416593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE HENDERSON President 508-733-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 1078) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MA 1078) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2021-12-16 |