| NPI | 1598419012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIDMAYER AMBROISE CEO 774-719-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy |
| 163WM0102X Registered Nurse Maternal Newborn | |
| 163WW0000X Registered Nurse Wound Care | |
| 164W00000X Licensed Practical Nurse | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-05-05 |