| NPI | 1265999510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE JACKSON Administrator 254-350-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-06-02 |