| NPI | 1801558465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON FOGLE President 267-401-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |