| NPI | 1952155343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRISHA GANISON Managing Member 972-922-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |