| NPI | 1649906330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIDA VANTHA VP 267-262-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |