| NPI | 1124278502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE B EDET Administrator/Don 469-233-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX PENDING) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: TX PENDING) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |