NPI | 1023678943 |
---|---|
Entity Type | Organization |
Authorized Contact | KEONTAQUE ABRON Director Personal Care COO Rdinator 214-264-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 174200000X Meals |
177F00000X Lodging | |
251F00000X Home Infusion | |
251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
251V00000X Voluntary or Charitable | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
347C00000X Private Vehicle | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-06-13 |