| NPI | 1801669296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS MARIE NASH Home Care Provider 980-300-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |