| NPI | 1891506101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A PEART Director 866-926-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |