| NPI | 1164177952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA SMITH Owner 908-397-2992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |