| NPI | 1548013923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO GRAINGER Owner 980-432-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |