| NPI | 1801518220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBANWO (GINA) A OMISANDE Administrator 281-570-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |