| NPI | 1790175594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. URIBE Administrator 915-383-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care Respite Care Camp | |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2024-04-01 |