| NPI | 1902279532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W GOOD Managing Director 267-893-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 28073601) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2019-07-07 |