| NPI | 1881487924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIK A GEBREMICHAEL CEO 567-201-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |