| NPI | 1497509954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE FOMUKONG Manager 281-732-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 291U00000X Clinical Medical Laboratory | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |