| NPI | 1902331887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GILLIAM Administrator 469-300-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-11-18 |