| NPI | 1972348431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS WILLIAMS Founder 984-500-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-10-16 |