| NPI | 1861999682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH JOHNSON Administrator 469-522-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-06-16 |