| NPI | 1962205302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET BI NJOMGERT 0 Wner 681-799-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-08-11 |