Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Home Health Aide |
374U00000X |
| NPI Number | 1518635341 |
| LBN Legal business name | MODERN HOME CARE |
| Authorized official | SHEILA STEVENSON - (CHIEF NURSING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/07/2021 |
| Last updated | 09/07/2021 - About 5 years ago |
| Identifiers | n/a |
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