| NPI | 1053913590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENAY ANDERSON Owner 234-230-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-10-17 |