| NPI | 1982012761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES JEAN LAM Fulltime RN 304-358-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WV 046616) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |