| NPI | 1407314891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA E GAONA Owner / Administrator 915-503-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |