| NPI | 1619618782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERRIN MAYS Lpn 448-500-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-01-27 |