| NPI | 1992221394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BONILLA Medical Administrator 915-929-8259 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 332H00000X Eyewear Supplier | |
| 332S00000X Hearing Aid Equipment | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |