| NPI | 1760292577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINAT TAJOMAVWO Owner 469-554-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |