| NPI | 1821548652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL SIMMS President 862-224-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |