| NPI | 1225660376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHANAE WILSON CEO 682-561-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 253Z00000X In Home Supportive Care | |
| 251S00000X | |
| 177F00000X Lodging | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-07 |