| NPI | 1821537473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA BARRY Owner 740-500-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-06-24 |