| NPI | 1699646992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIE HAGEN Owner 712-490-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |