| NPI | 1760992028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY VILLA RN 903-733-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2017-10-01 |