| NPI | 1881557304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE JONES Manager 980-375-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 174200000X Meals | |
| 311Z00000X Custodial Care Facility | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |