| NPI | 1598508400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUDZANI HOVE Manager 469-442-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |