NPI | 1992007561 |
---|---|
Doing Business As | SUNCREST OMNI |
Entity Type | Organization |
Authorized Contact | JOSHUA L. PROFFITT President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2010-12-02 |
Last Update Date | 2025-09-08 |