NPI | 1528640935 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHA WROTTEN Owner 870-629-5099 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
385H00000X Respite Care | |
Enumeration Date | 2021-04-25 |
Last Update Date | 2022-07-07 |