| NPI | 1912896572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL ONYEKACHI Excutive Director 147-046-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-07-24 |