| NPI | 1952232696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L MBORI Manager 469-452-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-05-28 |