| NPI | 1700656519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKESH PETTIS Owner, President 817-813-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-03-20 |