| NPI | 1700455334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANRE SODIQ ADEDIRAN Gm 254-436-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2025-09-16 |