| NPI | 1306487210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI FAGBOHUN Administrator 817-899-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-07-10 |