| NPI | 1467130633 |
|---|---|
| Former Legal Business Name | MARY NELL'S CLOSE TO HOME |
| Entity Type | Organization |
| Authorized Contact | TAMINA REDIA WELLS Founder 903-372-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |