| NPI | 1912620220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUN THANG Owner 260-999-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-04-12 |