| NPI | 1649090960 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EBONY MILLSAP Chief Operating Officer 210-982-2230 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant | 
| Additional Taxonomies | 253Z00000X In Home Supportive Care | 
| Enumeration Date | 2024-10-11 | 
| Last Update Date | 2024-10-11 |