| NPI | 1134617350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA GOLDEN WILLIAMS Owner 731-217-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |