| NPI | 1285457192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFIORITSE AGBONTAEN Manager/Administration 214-517-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |