| NPI | 1720809601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA THOMPSON Owner 870-919-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-05 |