NPI | 1902332802 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLY BOHANNON Owner/Administrator 682-330-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: TX 018030) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |