| NPI | 1033934393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESHACH OGUNMODEDE Manager 214-304-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-27 |