| NPI | 1548914906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA R FAKUNLE Director Of Nursing 817-689-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |