| NPI | 1073277158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D PAGE Owner 501-256-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |