| NPI | 1659097558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHNSON Owner 631-336-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |