| NPI | 1609445550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETROS KATIVHU President 910-705-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-01-24 |