| NPI | 1932968591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULLIET LYNDA MATIKE TITA Owner 346-493-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |