| NPI | 1518658327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE OLANIYAN Managing Partner 872-316-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-10-15 |