| NPI | 1649882887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEDA EDWARDS-LABOME Billing/ Coding Manager 832-420-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist, Home Health |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |