| NPI | 1679262554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINIKA TILLMAN Manager 267-241-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-09-08 |