| NPI | 1992151252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS NOMSO EGWIM Administrator 346-583-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-07-22 |