| NPI | 1205657459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN HOUSTON Director 219-678-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |