| NPI | 1932749777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DOMINIQUE GUMIRAKIZA Director 270-363-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |