| NPI | 1902421670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIA LUMPKIN Administrator 386-292-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |