| NPI | 1528868239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEVELLE FRANCIS Administrator 432-203-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-08-05 |