| NPI | 1972607687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA MOORE Owner 832-978-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-09-07 |