| NPI | 1992094288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G NYAGABONA Administrator 214-503-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-05-29 |