| NPI | 1669138491 | 
|---|---|
| Former Legal Business Name | JASMINE S. SHOEMATE | 
| Entity Type | Organization | 
| Authorized Contact | JASMINE S SHOEMATE Owner 210-906-1694  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Enumeration Date | 2021-11-16 | 
| Last Update Date | 2021-12-03 |