| NPI | 1194593921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA GREEN MIMS CEO 903-736-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2025-04-29 |