| NPI | 1700577848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE EGANZA Administrator 469-324-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |