| NPI | 1407695125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY JARETH LACKEY Owner 210-908-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |