| NPI | 1194524942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY MISNER Business Manager 308-316-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |