| NPI | 1194593921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA GREEN MIMS CEO 903-736-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |