| NPI | 1033703434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLESSIA MILES Owner 832-746-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X PACE Provider Organization | |
| 251X00000X Supports Brokerage | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-01-06 |