| NPI | 1205512399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M VER VELDE Owner/Director 920-901-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |