| NPI | 1558912923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHUA SHELTON-WIGGINS Owner 501-529-0803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-04-27 |