| NPI | 1982149407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE COMBS President 502-587-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-01-25 |