| NPI | 1588432488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKONGHO APPOLINIA ESSAME Administrator 469-474-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-12-26 |