| NPI | 1013611284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHEA M GILES Director Of Operations 380-223-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-30 |