| NPI | 1902653546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULAH OKOMBO Owner 256-412-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |