| NPI | 1548138225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM IDRIS NOOR Executive Director 502-291-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |