| NPI | 1407691280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C THEOPHILUS CEO 936-309-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-11-02 |