| NPI | 1619847472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHNSON Director 888-613-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 208D00000X General Practice |
| 208M00000X Hospitalist | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |