| NPI | 1912641473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA FICKLIN Owner 817-487-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |