| NPI | 1588029987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH STACKS Owner 270-320-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-07-21 |