| NPI | 1043985112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WOMMACK Owner 254-716-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |