| NPI | 1548152846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASHUA GONZALEZ Provider/Owner 857-381-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2025-07-21 |