| NPI | 1598284812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKOA DONAHUE Owner 817-507-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |