| NPI | 1053196071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CARBO Owner/Doo 330-519-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X Supports Brokerage | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |