| NPI | 1679037618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR T MACKINS CEO 267-271-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 332U00000X Home Delivered Meals | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |