| NPI | 1942641410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI ROCHELLE MARTIN Wound And Skin Care 214-641-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |