| NPI | 1043072333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDIA A EDWARDS Home Based Personal Support Agency 177-388-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |