| NPI | 1932637816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROME DIXON Owner 512-373-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |