| NPI | 1902588965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENIER J BONILLA President 939-642-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |