| NPI | 1679028419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGBOUMA OKE ULOFOSHIO President 702-202-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 8227-PCO-0) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-08-20 |