| NPI | 1548734452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERAINER ODOM Administrator 862-270-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-04-20 |