| NPI | 1962239301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA BOWSER Staff 667-201-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-06-02 |