| NPI | 1679185995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORIE JOHNSON Executive Office 800-548-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 310400000X Assisted Living Facility | |
| 315D00000X Hospice, Inpatient | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |