NPI | 1215642533 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL O ORJI Owner 346-932-7423 |
Organization Subpart ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-01-20 |
Last Update Date | 2024-10-11 |