| NPI | 1902203797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYNN REYES Owner 682-239-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2014-11-23 |