| NPI | 1649091976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON KIRIIBWA Manager 857-615-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-10-19 |