| NPI | 1164144168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB NEUBERT Authorized Official 254-230-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-07-31 |