| NPI | 1982098430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCKENZIE Designated Manager 469-586-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OK CSS0056) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |