| 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 | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-09-16 |