| NPI | 1689560914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYETTA T ELLIS-WILLIAMS Owner 667-268-0228 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225X00000X Occupational Therapist | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-19 |