| NPI | 1699220483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE JACKSON Owner/Administrator 832-882-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-08-21 |