| NPI | 1982072559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BAUTISTA Owner 656-766-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2020-11-19 |