| NPI | 1023761541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA WELLINGTON Administrator 281-901-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 171W00000X Contractor |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-09 |