| NPI | 1275106460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA ROBERSON Owner 877-890-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-08-13 |