| NPI | 1053135319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T DAVIS Manager 267-431-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |