| NPI | 1821826207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLIVAR ALTAMIRANO Mr. 347-605-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-01-23 |