| NPI | 1700591740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDOLE FORTINGO Owner 832-614-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-08-07 |