| NPI | 1548887128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNDA CASANIA GLOVER Administrator 038-851-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-03-30 |