| NPI | 1881525715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Director Provider Enrollment 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-06-02 |