| NPI | 1750039855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY CRISS Owner 346-514-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-11-15 |