| NPI | 1164265112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENI N RAYSON Administrator/Owner 903-203-8435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |