| NPI | 1487110201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE ADEOGUN Administrator 469-487-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2024-09-05 |