| NPI | 1265080923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN SELMAN Owner/Administrator 936-208-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |