| NPI | 1285245456 |
|---|---|
| Doing Business As | VICSANDRA DANIEL |
| Entity Type | Organization |
| Authorized Contact | VICSANDRA DANIEL Administrator 817-987-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-12-15 |