| NPI | 1689928004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G MOSS Director Of Admin Services 877-581-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |