| 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 |