| NPI | 1689356008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA MISHOE CEO 980-222-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-07-10 |