| NPI | 1780259804 |
|---|---|
| Doing Business As | SUPPORTIVE IN-HOME CARE LLC |
| Doing Business As | SUPPORTIVE IN HOME CARE |
| Entity Type | Organization |
| Authorized Contact | NICOLE PORTWOOD CEO 469-600-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-04-14 |