| NPI | 1568106292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE LAFAVOR CEO 888-528-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-11-19 |