| NPI | 1841881562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRLENA WATSON Owner 267-600-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |