| NPI | 1144729674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN EZENWA NWOKEDI Administrator 214-803-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2024-03-15 |