| NPI | 1689055246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTIA HOLIZA GORDON Owner 860-812-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2018-08-22 |