| NPI | 1649842741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE A BLACKBURN Managing Member 347-342-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |