| NPI | 1700120383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOHNSON Vice President 870-609-1906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AR AR4821) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |