NPI | 1861273252 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELINE N BROAD Owner 234-425-8849 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251F00000X Home Infusion |
251J00000X Nursing Care | |
251X00000X | |
253Z00000X In Home Supportive Care | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-07-10 |