| NPI | 1639760051 |
|---|---|
| Doing Business As | WENZY'S PLACE PERSONAL CARE HOME LLC MOBILE LAB |
| Entity Type | Organization |
| Authorized Contact | GUESTA ANTHONY Owner/Lab Director 832-943-0709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |