| NPI | 1295779023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINE DJEUKOUA NGAHA Administrator 214-272-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 013708) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: TX 013708) |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: TX 013708) | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion (Licence: TX 009288) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-06-25 |