| NPI | 1700596392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKICA BASTFIELD Owner 980-273-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-02-01 |