NPI | 1053941856 |
---|---|
Entity Type | Organization |
Authorized Contact | LASONDRA MCDOWELL Executive Director, RN 501-562-1988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
385H00000X Respite Care | |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |