| NPI | 1528704947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARREN LEE SIMON Owner 918-401-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-07-31 |