| NPI | 1073059663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRYMI DANIELLE MATHIS Program Manager 469-735-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |