| NPI | 1508318502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D WALLACE Owner 210-822-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 017539) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: TX 017539) |
| 253Z00000X In Home Supportive Care (Licence: TX 017539) | |
| 385H00000X Respite Care (Licence: TX 017539) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-03-16 |