| NPI | 1134502909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ARCHULETA Administrator/Owner 915-490-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |