| NPI | 1184259129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUEASHA HAYES Owner 319-541-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |