| NPI | 1851850283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEULAH LEE WALLACE Member 203-386-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| 251J00000X Nursing Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |