| NPI | 1073401840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY O UADIALE Owner 346-631-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251E00000X Home Health | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-30 |