| NPI | 1932632494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHIA WELLS Owner 346-314-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-03-31 |