| NPI | 1417490848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKIA COLLIER Owner 682-221-9756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 017576) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: TX 017576) |
| 385H00000X Respite Care (Licence: TX 017576) | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2017-05-12 |