| NPI | 1417618067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANGEB TONI BATOU Administrator 469-739-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |