| NPI | 1538608633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUEDUKA GIBBS Administrator 267-945-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 32213601) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |