| NPI | 1578260162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUNYERE GRACIOUS AMAKU Owner 346-285-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |