NPI | 1609536184 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANELLE BROWN Owner 424-309-3533 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 251B00000X Case Management |
251T00000X PACE Provider Organization | |
253Z00000X In Home Supportive Care | |
282N00000X General Acute Care Hospital | |
282NC2000X General Acute Care Hospital, Children | |
385H00000X Respite Care | |
Enumeration Date | 2021-12-23 |
Last Update Date | 2024-10-09 |