| NPI | 1033648613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BAUGHMAN Director Of Development 386-795-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |