| NPI | 1891398467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DONTE EDWARDS CEO 346-390-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 177F00000X Lodging |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |