| NPI | 1730686445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DATHAN LANE Owner 253-750-2664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2021-08-24 |