| NPI | 1962376665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHEA CHANTEL BEATTY Owner 463-279-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |