| NPI | 1952109704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTOYA LEAK BOYKIN Owner/ Director Of Operatios 330-701-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |