| NPI | 1780157883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH UWAGBAI Administator 682-554-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-06-10 |