| NPI | 1093665036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JORDAN Director Of Operations 330-801-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-01-30 |
| Last Update Date | 2026-01-30 |