| NPI | 1619739190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY ASQUITH Director/Owner 267-897-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |