| NPI | 1275883522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE O AGBEBAKU Administrator / Don 210-310-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 758888) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2013-01-29 |