| NPI | 1396017505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDDY ENRIQUEZ CEO 469-449-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-12-18 |