| NPI | 1962059956 |
|---|---|
| Former Legal Business Name | OMG HEALTHCARE AGENCY LLC |
| Entity Type | Organization |
| Authorized Contact | DORIS J DAVIS Alt.Admimistrative 346-339-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |