| NPI | 1891158051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL TERESA RODRIGUEZ Administrator 958-404-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-06-27 |