NPI | 1124282231 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA R MOCTAR Manager 817-719-3022 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 124051) |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 124051) |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 124051) | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 124051) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |