| NPI | 1760220156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMONICA LASHA WALLER Owner/ Administrator 945-289-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-08-18 |