| NPI | 1902511470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIUS FORLU Owner 830-273-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient | |
| 261QM1102X Clinic/Center Military Outpatient Operational (Transportable) Component | |
| 261QM1103X Clinic/Center Military Ambulatory Procedure Visits Operational (Transportable) | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0800X Clinic/Center Recovery Care | |
| 282E00000X Long Term Care Hospital | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-05-08 |