| NPI | 1194574103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY-SMITH BAKIA AGBOR Owner 832-888-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-28 |