| NPI | 1699459826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAE Y BANKS Admin 347-339-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |