| NPI | 1891281077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINEKIA DILLON Administrator/Owner 251-222-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: AL 2-066822) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AL 2-066822) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-01-13 |