| NPI | 1912058850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O'DELLE ANNETTE HALL Director 512-249-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0094928) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0094928) |
| 253Z00000X In Home Supportive Care (Licence: TX 0094928) | |
| 251E00000X Home Health (Licence: TX 0094928) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-10-15 |