| NPI | 1548866197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA ANN ARCHIE Owner 980-208-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-12-25 |