| NPI | 1780110304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJI L BROOKS Director 800-282-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-02-03 |