| NPI | 1225601644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA MOTON Owner 629-239-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 174200000X Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-24 |