| NPI | 1598469512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELISHA COBB Agency Director 984-204-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-04-07 |