| NPI | 1093692154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WATSON Owner 901-495-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251T00000X PACE Provider Organization | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251S00000X Community/Behavioral Health | |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-10-02 |