| NPI | 1861200644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA MICHELLE TISDALE Healthcare Provider 800-468-7834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 342000000X Transportation Network Company | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-25 |
| Last Update Date | 2024-12-25 |