NPI | 1760133482 |
---|---|
Entity Type | Organization |
Authorized Contact | JVONA P HOLIDAY President 469-607-9949 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251B00000X Case Management |
261QH0100X Clinic/Center Health Service | |
253Z00000X In Home Supportive Care | |
177F00000X Lodging | |
332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
Enumeration Date | 2022-01-13 |
Last Update Date | 2025-09-05 |