| NPI | 1396760054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY KOENEN Administrator 972-664-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 017670) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-09-30 |