| NPI | 1508576570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYME MCINTOSH Owner 469-323-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |