| NPI | 1669185278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHIA JOHNSON Administrator 220-204-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| 104100000X Social Worker | |
| 163WC0400X Registered Nurse, Case Management | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |