| NPI | 1609611250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COCO LAVETTE RIDEOUT CEO 254-551-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |