| NPI | 1629700398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL T SIMMONS Owner 283-333-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-10-10 |