| NPI | 1972346716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISHOP ROY-MACAULEY Doo 380-261-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-10-02 |