| NPI | 1336555432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA FISHER Owner 832-216-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-05-14 |