| NPI | 1114570173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER HALLABA Co Owner 580-715-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-02-22 |