| NPI | 1871104265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MARK MONTEBELLO Member/Manager 409-658-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |