| NPI | 1588340202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANDRUS Owner 903-472-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 374U00000X Home Health Aide | |
| 174200000X | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-08-23 |