| NPI | 1285243345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYAL ROBINSON Owner 501-353-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-09-14 |