| NPI | 1861254591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONGWE KENKWA BASIL C RN P 227-218-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |