| NPI | 1689511461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHARA BOOTH Owner 769-223-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |