| NPI | 1518443548 |
|---|---|
| Doing Business As | TIELISIA A. BOYD |
| Entity Type | Organization |
| Authorized Contact | TIELISIA ANN BOYD Administrator 918-301-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |