| NPI | 1962058958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE V SAMUEL Director 469-235-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-06-29 |