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 |