| NPI | 1053687749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC OTADORO Administrator 979-661-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 014913) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2014-08-27 |