| NPI | 1730942343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLESSING CHIOMA BENJAMIN Owner 678-508-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |