| NPI | 1922813542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBY Manager 943-257-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |