| NPI | 1619794252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA GIST Manager 347-470-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |