| NPI | 1932799293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLINE BEGUMISA NAMARA Administrator 682-414-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-11-09 |