| NPI | 1962284687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LEE GONZALEZ Administrator 956-558-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |