| NPI | 1831069806 |
|---|---|
| Doing Business As | EXECUTIVE HOME CARE SAN ANTONIO NORTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL THOMPSON Owner 703-300-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |