| NPI | 1770141244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS DAVIS Administrator 817-774-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-02-19 |