| NPI | 1780333625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE NICOLE EVERAGE Administrator 267-982-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2022-03-19 |