| NPI | 1619170297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNONYITUM S EJESIEME Owner Administrator 972-365-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 011635) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2008-06-01 |