NPI | 1720353824 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA GUERRA Owner/Administrator 9569-351-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 014935) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2012-03-21 |
Last Update Date | 2015-01-25 |