| NPI | 1659735694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BERENICE ROMAN Alternate Administrator 915-599-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 017581) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-08-20 |