| NPI | 1902144660 |
|---|---|
| Former Legal Business Name | MED-SOURCE HEALTHCARE SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | PRISCILLA UDEAGHA Adminstrator 281-265-0095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 010184) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |