| NPI | 1669225314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY SHANNON Owner/CEO 862-902-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-19 |