| NPI | 1154690238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIBA MATHUR President/Administrator 469-361-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |