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 |