| NPI | 1659130821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICA WILKINS Owner 267-398-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-07-12 |