| NPI | 1578030508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MORA Mbr 956-731-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-03-30 |