| NPI | 1023643061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD NWORKA Administrator 469-703-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-07-12 |