| NPI | 1528092939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA KAYE EZENAGU Owner / Lvn 214-343-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 009354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 525149) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 130816) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-08-06 |