| NPI | 1619163664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN RAYNUND WADJA Owner/Administrator 915-857-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 011694) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2025-02-13 |