| NPI | 1841043437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK HERODA Owner/Administrator 469-348-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |