| NPI | 1922746007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMING BULLOCK Owner 267-576-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-10-14 |