| NPI | 1093402430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BREAZIEL CEO 346-606-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-04-19 |