| NPI | 1194312819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI L. MITCHELL Owner/Program Director 330-881-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |