| NPI | 1083369235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALCYN A LANGNER CEO 218-457-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2025-09-19 |