| NPI | 1518724012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON VENEY Owner/COO 848-888-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |