| NPI | 1154692200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANETA FLORES SMITH Independent Provider 513-257-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH MBS#3111822) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |