| NPI | 1932787173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WARREN Home Healthcare Provider 229-234-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |