| NPI | 1942923446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAPOLEON SANDEFORD Program Manager / Community Connect 870-413-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |