| NPI | 1922450451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA D. JOHNSON Administrator 800-318-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 332S00000X Hearing Aid Equipment | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-07-19 |