| NPI | 1033444104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOLOLA M OLUWASOLA Owner 817-538-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 59) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 59) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2022-07-21 |