| NPI | 1285047969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M GRANADOS President/Registered Agent 817-501-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 251J00000X Nursing Care | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-11 |