| NPI | 1669991055 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | PEACE LANREWAJU Administrator 832-859-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2017-09-17 |