| NPI | 1639688872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZARYA YAKUBOV Managing Member/President 267-242-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 34703601) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |