| NPI | 1750868303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RENE IVEY Administrator 918-561-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CSS) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |