| NPI | 1003465626 |
|---|---|
| Former Legal Business Name | PENISTON PERSONAL CARE HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | BREEZY U HOUSTON Owner 678-545-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-05-18 |