| NPI | 1780377218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MUTOONI Manager 857-559-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-07-25 |