| NPI | 1013570274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E SAFONOV Owner/President 479-208-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-10-17 |