| Organization Name: | DMBW PERSONAL CARE HOME, INC |
| NPI Number: | 1427403898 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARINA LISA MONTEZ-BAUGH (OWNER) |
| Mailing Address: | 7126 Coral Spgs San Antonio |
| State: | TX US |
| Postal Code: | 782506232 |
| Phone Number: | 2102625675 |
| Fax Number: | 2106999282 |
| NPI Enumeration Date: | 05/04/2016 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 324112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |