| NPI | 1881450906 |
|---|---|
| Doing Business As | EXECUTIVE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | LANDRIS JOHNSON Owner 682-597-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |