| NPI | 1760836704 |
|---|---|
| Former Legal Business Name | MINNIES KIDS |
| Entity Type | Organization |
| Authorized Contact | DECORLA P. HOLMES Owner 682-227-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX NA09046331) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |