| NPI | 1043182389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE BALLARD Adminstrator 563-200-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |