| NPI | 1679113583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHRISTINE JOHNSON Operations Manager 479-498-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |