| NPI | 1255001467 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROVELLA LABOME BEAUDOIN Admin 832-691-9908 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2021-09-18 | 
| Last Update Date | 2021-12-29 |