| NPI | 1770666885 |
|---|---|
| Doing Business As | PARADISE HOME AGENCY |
| Entity Type | Organization |
| Authorized Contact | THEO ADEOYE Administrator 817-368-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 166982) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-07-13 |