| NPI | 1639688146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOYOSORE FASHOLA Owner/ Alt Administrator 832-428-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |