| NPI | 1346754066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD BURNS Alternate Administrator 254-413-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |