| NPI | 1598403289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENE AJIBOLA Owner 336-508-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |