| NPI | 1982159505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETTAWAY Owner 267-934-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |