| NPI | 1679444020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WALLACE Member 984-480-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2026-02-26 |