| NPI | 1871300772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA LASHAY THOMPSON Own 251-459-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-04-02 |