| 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 |