| NPI | 1528797545 |
|---|---|
| Former Legal Business Name | LAVENDER HOME HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | JAMACIA L WASHINGTON Owner 347-351-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |