| NPI | 1952129264 |
|---|---|
| Former Legal Business Name | CONVENIENT CARE HOME SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | AJIA WILLIAMS Owner 713-281-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |