| NPI | 1114443009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KELLEY BOROFF Owner 334-467-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |