| NPI | 1982292611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JEFFERSON Owner 469-313-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-10-30 |