| NPI | 1124486204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BANKS-HALL Owner/Administrator 502-714-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 36987479) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |