| NPI | 1801547385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CAROLINA CALDERON Administrator 469-358-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |