| 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 | 2024-07-24 |