| NPI | 1093408114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA KYELULA Alt. Administrator 940-337-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |