| NPI | 1265255889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKKA LATREAL SMITH President & CEO 737-701-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-07-29 |