| NPI | 1457042376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS ENAHORO Administrator 682-353-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-23 |