| NPI | 1780205260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA D CROCKETT Owner 980-475-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-06-23 |