| NPI | 1902192537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUAN QUATEZ' ELLERBE Social Worker 774-444-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |