| NPI | 1467603712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINI PRINCE Director 972-735-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-01-11 |