| NPI | 1043086457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAN AHWAZI Owner 210-908-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-10-17 |