| NPI | 1043269913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE C ETOAMA Administrator 281-313-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 665703) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 010225) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 010225) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-09-11 |