| NPI | 1437971603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN BONNER Director 346-495-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |