| NPI | 1649043548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNOCK NTUNGUMU KHONDE Owner/Administrator 207-352-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |