| NPI | 1235662883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SITHARA COLWELL Alt Administrator 469-223-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-07-18 |