| NPI | 1932815701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIODA WELCH Administrator 267-991-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2024-02-29 |