| NPI | 1316471436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMIERA CHANTEL CLARK Owner/Administrator 817-902-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-08-22 |