| NPI | 1083161962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY CARPENTER Office Manager 4098-421-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: TX 013438) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |