| NPI | 1558195123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE NIYONSHIMA Manager 502-999-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-28 |