| NPI | 1356352033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIAMMA NONE CHACKO Administrator/Don 972-255-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 009062) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-10-12 |