| NPI | 1235004763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MINOUGOU Director 531-710-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-26 |