| NPI | 1003062472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RAY BAKER Home Health Nurse Aide 817-304-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: TX 09332825) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 09332825) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2008-08-17 |