| NPI | 1760220156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMONICA LASHA WALLER Owner/ Administrator 945-289-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |