| NPI | 1508513078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORA THOMPSON Administrator/ Owner 469-333-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |