| NPI | 1952282089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINYE WILLIS Administrator 817-721-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 251F00000X Home Infusion | |
| 2279H0200X Respiratory Therapist, Registered, Home Health | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-26 |