NPI | 1073304390 |
---|---|
Entity Type | Organization |
Authorized Contact | TYNISHA BRUMSKILL Owner 267-981-5368 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health |
376J00000X Homemaker | |
385H00000X Respite Care | |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |