| NPI | 1164253589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE B ROESLER Owner 302-800-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-09 |