| NPI | 1417358474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D WALLACE Owner / CEO 210-822-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 016730) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: TX 016730) |
| 253Z00000X In Home Supportive Care (Licence: TX 016730) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-03-08 |