| NPI | 1154724573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANGEL ANTHONY HUNTER Vice President 267-799-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 253Z00000X In Home Supportive Care | |
| 251S00000X Community/Behavioral Health | |
| 251J00000X Nursing Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 251G00000X Hospice Care, Community Based | |
| 310400000X Assisted Living Facility | |
| 261QV0200X Clinic/Center, VA | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2025-11-14 |