| NPI | 1356926331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI M LYLES Owner 817-487-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2022-02-17 |