| NPI | 1639543655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHYAHNEETAH WALKER CEO/Owner 682-305-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-25 |