| NPI | 1174201636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYRI KALDAS Owner 862-371-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |