| NPI | 1881979581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PUENTE Director 210-812-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 015056) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2017-02-09 |