| NPI | 1447972773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY NALLS Owner 469-912-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-19 |