| NPI | 1699320580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOBONG C. UDO Np 507-271-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |