| NPI | 1962045526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SMITH Credentialing Manager 502-244-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-03-21 |