| NPI | 1861116170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARONDA DENIECE SMITH Director 762-821-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |