| NPI | 1740417062 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JOHNSON OOMMEN Administrator 214-400-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-05-30 |