| NPI | 1396264321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMA OGOLO Administrator/ Part Owner 832-762-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |