| NPI | 1770243990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ABDULAIZZ Manger 701-500-6189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2025-01-22 |