NPI | 1912357682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: PA 652238) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 06650501) |
163WH0200X Registered Nurse, Home Health (Licence: PA 06650501) | |
251B00000X Case Management (Licence: PA 06650501) | |
251E00000X Home Health (Licence: PA 06650501) | |
282J00000X Religious Nonmedical Health Care Institution (Licence: PA 06650501) | |
343900000X Non-emergency Medical Transport (VAN) (Licence: PA 06650501) | |
374U00000X Home Health Aide (Licence: PA 06650501) | |
376J00000X Homemaker (Licence: PA 06650501) | |
385H00000X Respite Care (Licence: PA 06650501) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2021-07-27 |