NPI | 1770001018 |
---|---|
Entity Type | Organization |
Authorized Contact | SYLVESTER BAILEY CEO 252-702-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: PA 34783601) |
Additional Taxonomies | 385H00000X Respite Care (Licence: PA 34783601) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2024-10-09 |