NPI | 1790113496 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYA SERDYUKOVA Administrator 877-968-6388 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2013-10-16 |
Last Update Date | 2024-08-29 |