| NPI | 1720922701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKS HEMINGER Director 833-668-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 163WH0200X Registered Nurse, Home Health | |
| 163WH1000X Registered Nurse, Hospice | |
| Enumeration Date | 2026-04-18 |
| Last Update Date | 2026-04-18 |