| NPI | 1447911573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN VELASQUEZ POBLETE Administrator 817-707-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2025-09-29 |