| NPI | 1457123010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNETTE TINEO Manager 984-480-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |