| NPI | 1134779119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A CALLOWAY Director Of Operations 903-230-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2021-06-01 |