NPI | 1962148908 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA FAYE COMMODORE Owner 769-204-3699 |
Organization Subpart ? | No |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 251E00000X Home Health |
385H00000X Respite Care | |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-05-11 |