| NPI | 1548131816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BAUGH Lpn Manager 854-239-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 174200000X Meals | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |