| NPI | 1801146253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENDA BENFORD Program Administrator 817-247-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 016799) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-01-17 |