| NPI | 1699646752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMISHA SMITH-LANDER Administrator 346-497-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |