| NPI | 1912537986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL GOODWIN Owner 203-469-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-01-18 |