| NPI | 1811663552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SUKU JEZREEL President 512-516-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2024-11-05 |