| NPI | 1649952276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA B IKPO Manager 346-422-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-03-18 |