| NPI | 1134969348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA ANN JARED Owner/Member 931-644-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-06-18 |