NPI | 1912710781 |
---|---|
Doing Business As | AGE WELL ALLIANCE |
Former Legal Business Name | AGEWELL ALLIANCE |
Entity Type | Organization |
Authorized Contact | LUKE A KIST Owner 251-223-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
376J00000X Homemaker | |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-04-10 |