| NPI | 1851025308 |
|---|---|
| Former Legal Business Name | CREDO HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL EBEN Administrator 469-345-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-13 |