| NPI | 1235911223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PEREZ Owner 479-278-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-12-21 |