| NPI | 1083104806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANNA LUSK Administrator 832-715-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-11-26 |