| NPI | 1629825609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEQ A MOALLIM Owner 716-313-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-07 |