| NPI | 1992542757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GAGE MERRITT COO 469-273-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |