| NPI | 1770205080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYEYEMI OLUFUNMILAYO ADESOBA Administrator 346-414-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-11-26 |