| NPI | 1609111558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE NATHANIEL JACKSON Administrator 832-656-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: TX 015378) |
| 3747P1801X Technician, Personal Care Attendant (Licence: TX 015378) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2015-10-12 |