| NPI | 1639817398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDOLYN BLAIR Owner 682-298-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |