| NPI | 1790114528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GONZALEZ Administrator 915-541-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-10-05 |