| NPI | 1811684319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASIA DAVIS Owner 570-995-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |