NPI | 1649662495 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER MARTIN CEO 254-307-8607 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2015-03-02 |
Last Update Date | 2024-05-29 |