| NPI | 1659082287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA EMELDA UZOAGBADO Principal 888-740-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |