| NPI | 1790174712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA M CEPEDA Owner 214-449-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: TX 840550) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |