| NPI | 1992679393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN RILEY Owner/Admistrator 870-580-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2026-01-13 |