| NPI | 1790667582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOATENG JOSEPH AGYEKUM Owner 380-799-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |