| NPI | 1528640851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA HUGHEY CEO 870-904-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |