| NPI | 1568727691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSARU IYAMU Administrator 469-583-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: TX 015227) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2013-02-12 |