| NPI | 1740622968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON SMITH President 832-406-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 335G00000X Medical Foods Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |