| NPI | 1609684117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JACKSON Manager/CEO 346-430-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-08-18 |