| NPI | 1104400241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL A FLORES Owner 281-383-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |