| NPI | 1972242428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA NICHOLE HAYES Owner 660-530-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374T00000X Religious Nonmedical Nursing Personnel |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-05-15 |