| NPI | 1982445326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK JUNIEL Owner 870-885-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |