| NPI | 1356807077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE ODUARAN President 281-406-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 310400000X Assisted Living Facility | |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3416L0300X Ambulance, Land Transport | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2021-02-08 |