| NPI | 1114763182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETUNDE TOLULOPE OWOSENI Administrator 817-770-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |