| NPI | 1639651987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAHYOJENDAYI LENAIR FULLWOOD Administrator/Owner 866-491-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-09-02 |