| NPI | 1003290990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINOLA FAMAKINWA Administrator 469-602-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2021-02-09 |