| NPI | 1861169930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA A PEREZ 0 Wner 860-576-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-09-20 |