NPI | 1306434758 |
---|---|
Former Name | SHELIA ANN UNDERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Enumeration Date | 2020-12-31 |
Last Update Date | 2020-12-31 |