| NPI | 1003651118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA GONZALEZ Owner 940-368-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-09-11 |