| NPI | 1669214490 |
|---|---|
| Doing Business As | EZRA'S HOMESTEAD |
| Entity Type | Organization |
| Authorized Contact | LOVENIA CHEAD Director 817-733-1790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |