| NPI | 1912741398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEGANT AFRIYIE Director 424-361-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |