| NPI | 1134687577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SABU JOSEPH Administrator 214-289-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |