| NPI | 1588035471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEBOHO L MATHUTHU Administrator 267-296-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 28893601) |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |