| NPI | 1558179812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINESSA R EDWARDS Owner 980-378-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-07-24 |