| NPI | 1306591912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE BOONE Owner 856-558-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-23 |