| NPI | 1073398905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECARLOS DEVANTE SANDERS-SANTANNA CEO 440-985-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251X00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-30 |