| NPI | 1033479142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TUCKER Owner 251-234-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |