| NPI | 1861956211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE HORATIO JENKINS CEO 860-712-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-10-30 |