| NPI | 1679174585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANDRA LANE President 267-709-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |