| NPI | 1063829802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHBAA ZAIDAN Adminstrator 915-496-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2023-05-22 |