| NPI | 1740698588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE D WALLACE CEO 210-822-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX Pend) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: TX 016721) |
| 253Z00000X In Home Supportive Care (Licence: TX 016721) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2017-03-06 |