| NPI | 1679408421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA BREANNA Owner 862-800-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 376K00000X Nurse's Aide | |
| 347E00000X Transportation Broker | |
| 253Z00000X In Home Supportive Care | |
| 174200000X Meals | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |