Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Adult Companion |
372600000X | |||
Home Health Aide |
374U00000X | |||
Registered Nurse |
163W00000X |
| NPI # | 1790348266 |
| LBN Legal business name | SOLID ROCK HOME CARE ASSISTANCE LLC |
| Authorized official | MARQUETTA KEITH - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/19/2019 |
| Last updated | 04/19/2019 - About 7 years ago |
| Identifiers | n/a |
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