NPI | 1023432283 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH JOHNSON CEO/Administrator 214-476-5679 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
332B00000X Durable Medical Equipment & Medical Supplies | |
385H00000X Respite Care | |
Enumeration Date | 2014-02-08 |
Last Update Date | 2017-02-17 |