| 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 |