| NPI | 1952061913 | 
|---|---|
| Doing Business As | RESIDUAL HEALTH CENTER | 
| Entity Type | Organization | 
| Authorized Contact | RENADJA TAYLOR CEO/Owner 682-323-7661  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center | 
| Enumeration Date | 2021-12-17 | 
| Last Update Date | 2022-10-25 |