| NPI | 1952525099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE GREEN Director Of Services 5043-922-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA rc 12015) |
| Additional Taxonomies | 251E00000X Home Health (Licence: LA sil 10746) |
| 251E00000X Home Health (Licence: LA pca 10745) | |
| 251E00000X Home Health (Licence: LA sil 12584) | |
| 251E00000X Home Health (Licence: LA pca 12583) | |
| 251E00000X Home Health (Licence: LA pca 17030) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |