| NPI | 1588934533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TUNSON Owner 877-369-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: LA 2203781022) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: LA 22037810220) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-04-03 |