| NPI | 1528433190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES STURGEON Administrator 817-459-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |