| NPI | 1023278991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO D DALE Owner 251-456-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |