| NPI | 1760052302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA CATRICE HARRIS-IVY Mrg 140-778-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-06-27 |