| NPI | 1295673754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNA JULIEN Owner 772-971-6129 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251K00000X Public Health or Welfare | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372600000X Adult Companion | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-07-11 |