| NPI | 1770883548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMI M AIYEJUTO Asst Administrator 469-778-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 104100000X Social Worker |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 3747P1801X Technician Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2025-01-24 |