| NPI | 1770208092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA L MAGEE CEO 872-333-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |