NPI | 1831980341 |
---|---|
Entity Type | Organization |
Authorized Contact | SYUZANNA SOGHOYAN Owner 308-625-7818 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2025-05-14 |
Last Update Date | 2025-05-21 |