| NPI | 1174354476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE CORY PARADISE Owner 661-472-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-03-04 |