| NPI | 1831860527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEONORA J WALCZAK Owner 855-682-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |