| NPI | 1932826237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMZID SARDAR Admin/Mgmt 541-331-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |