| NPI | 1154152189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFREE D RYAN Administrator 469-984-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |