| NPI | 1952940728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMIN NAMDARI Administrator 318-210-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |