| NPI | 1972344265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA-TENNEH SAMPSON President 267-398-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-08-21 |