| NPI | 1659007805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAJETAN OKPOKPO Owner 469-531-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 163WH1000X Registered Nurse Hospice |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-06-05 |