| NPI | 1104685510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SIFUENTES Owner/Administrator 972-684-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |