| NPI | 1104704014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA SWAIN Owner 419-304-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |