| NPI | 1528700788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONA AVILES Vice President/Alt Administrator 267-945-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |