| NPI | 1871345272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIQELL BOGA CEO 870-293-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-05-08 |