| NPI | 1780118828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKOAH WELLMAKER-WATTS President 469-222-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |