| NPI | 1124704945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA JOYCE WALLACE Caregiver 251-200-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-07-08 |