| NPI | 1902783194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBEMISOLA EMINUE Director 667-436-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |