| NPI | 1124862388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ANDERSEN Owner 954-732-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |