| NPI | 1740852573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA A MOKOENA Owner 774-329-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2026-01-05 |