| NPI | 1770271777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYVONNE MONIQUE JOHNSON Owner 463-200-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-04-22 |