| NPI | 1720859929 |
|---|---|
| Former Legal Business Name | PUSH HOME CARE LLC |
| Other Name | PUSH HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON MOODY Owner 765-409-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-22 |