| NPI | 1104876291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A WREN-GRAY President 800-250-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 002860) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 458160) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 002860) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-11-12 |