| NPI | 1619162195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA IVES Administrator 817-903-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 3747P1801X Technician, Personal Care Attendant | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-01-10 |