| NPI | 1811705510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK ONGWELA Owner/Operator 269-998-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |