| NPI | 1629409867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2024-02-13 |