| NPI | 1558069849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK NIBA Owner 972-680-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |