| NPI | 1538727938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU KURIAKOSE Facility Administrator 972-859-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-04-14 |