| NPI | 1649821240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE YVONNE COURTNEY Member 870-723-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-03-22 |