| NPI | 1255896833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS IYAMAH Alternate Administrator 817-420-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |