| NPI | 1659125722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONNA MURDOCK Owner 269-207-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163W00000X Registered Nurse | |
| 251B00000X Case Management | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |