| NPI | 1063011963 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TAKEESHA R CONCEPCION Owner 281-224-2026  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246Y00000X Spec/Tech, Health Info | 
| Additional Taxonomies | 251E00000X Home Health | 
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2020-10-21 | 
| Last Update Date | 2020-10-21 |