| NPI | 1821695669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIA IFEYINWA MBANWITE Administrator 469-636-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-06 |