| NPI | 1851821532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMIKA HINES Owner/Manager 502-365-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 50103480) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |